Auto-kinesio-therapy in the carpal tunnel syndrome
Authors:
M. Nakládalová 1; V. Žídková 1; I. Brlková 1; P. Holá 1; V. Máslová 2; H. Vildová 1; A. Boriková 1; H. Kollárová 3
Authors place of work:
Klinika pracovního lékařství, LF UP a FN Olomouc
přednostka doc. MUDr. Marie Nakládalová, Ph. D.
1; Ústav ošetřovatelství, Fakulta zdravotnických věd UP v Olomouci
přednostka Mgr. Zdeňka Mikšová, Ph. D.
2; Ústav preventivního lékařství, LF UP a FN Olomouc
přednostka doc. MUDr. Helena Kollárová, Ph. D.
3
Published in the journal:
Pracov. Lék., 68, 2016, No. 3, s. 87-93.
Category:
Original Papers
Summary
Introduction and objective:
The carpal tunnel syndrome is the most frequent neuropathy of upper extremities. Our work investigated whether auto-kinesiotherapy with elements of neurodynamic mobilization of nervus medianus is effective as one of the possibilities for treating the carpal tunnel syndrome (CTS). Moreover, we wanted to verify, whether education of the patients and clients regarding the exercise can be provided by general nurses.
Methods:
The cohort included 27 persons (54 cases of CTS), who were educated by a general nurse in the way how to perform auto-kinesiotherapy by three specific exercises and the persons were asked to exercise independently at least once daily for the period of three months. The nurse contacted and stimulated the subjects at least twice by phone during the study. The control group included 12 persons (24 cases of CTS) who did no exercise or were not treated in any way. The extent of subjective complaints regarding each arm was established by a questionnaire survey before and after three months of the study. The questions in the questionnaires were directed to subjective complaints associated with CTS manifestations and fine hand motor. In the conclusion the authors compared the occurrence and degree of the complaints between and after the exercise and compared the effects of exercise in the followed and control groups. Moreover, the effect of exercise in incipient and advanced forms of CTS was investigated.
Results:
Subjective improvement of the complaints occurred significantly more often in the exercising subjects, A subjective improvement of at least on the followed parameters was detected in 40 cases of the carpal tunnel syndrome in the exercising subjects (76.9%), which was significantly more frequent than in the persons who did not exercise (P = 0.0001), where improvement was reported only in five subjects (20.8%). In comparing the effect of exercise by the extent of subjective complaints including the parameters of fine hand motor, there was not any significant difference between incipient and advanced forms of carpal tunnel syndrome.
Conclusion:
Auto-kinesiotherapy is one of the possibilities for prevention and therapy of the carpal tunnel syndrome. Whenever the exercise is practiced, the patients encounter a relief. The study indicates that clients are capable to exercise independently after an entry education by a general nurse.
Keywords:
auto-kinesiotherapy – neurodynamic mobilization – carpal tunnel syndrome – occupational disease
Zdroje
1. Washington State Department of Labor and Industries. Work-Related Carpal Tunnel Syndrome Diagnosis and Treatment Guideline. Washington State Department of Labor and Industries, Olympia; 2014.
2. Aroori S., Spence R. A. Carpal tunnel syndrome. Ulster Med. J., 2008, 77, 1, p. 6–17.
3. De-la-Llave-Rincon, A. I., Ortega-Santiago, R., Ambite-Quesada, S., Gil-Crujera, A., Puentedura, E. J., Valenza, M. C., Fernández-de-las-Peñas, C. Response of pain intensity to soft tissue mobilization and neurodynamic technique: a series of 18 patients with chronic carpal tunnel syndrome. J. Manipulative Physiol.Ther., 2012, 35, 6, s. 420–427. doi: 10.1016/j.jmpt.2012.06.002. Epub 2012 Jul 31.
4. Fenclová Z., Urban P., Žofka J. Nemoci z povolání v České republice. Státní zdravotní ústav. ISSN 1804-5960. Czech.
5. Giersiepen, K., Spallek, M. Carpal tunnel syndrome as an occupational disease. Deutsches Ärzteblatt, 2011, Apr. 8, Jg. 108, Heft 14, p. 238–242. DOI: 10.3238/arztebl.2011.0238.
6. Hadianfard, M., Bazrafshan, E., Momeninejad, H., Jahani, N. Efficacies of Acupuncture and Anti-inflammatory Treatment for Carpal Tunnel Syndrome. J. Acupunct. Meridian Stud., 2015, 8, 5, s. 229–235. doi: 10.1016/j.jams.2014.11.005. Epub 2014 Nov 29.
7. Heebner, M. L., Roddey, T. S. The effects of neural mobilization in addition to standard care in persons with carpal tunnel syndrome from a community hospital. J. Hand Ther., 2008, 21, 3, s. 229–240; quiz 241. doi: 10.1197/j.jht.2007.12.001.
8. Horng, Y. S., Hsieh, S. F., Tu, Y. K., Lin, M. C., Horng, Y. S., Wang, J. D. The comparative effectiveness of tendon and nerve gliding exercises in patients with carpal tunnel syndrome: a randomized trial. Am. J. Phys. Med. Rehabil., 2011, 90, 6, s. 435–442. doi: 10.1097/PHM.0b013e318214eaaf.
9. Kwolek, A., Zwolinska, J. Immediate and long-term effects of selected physiotherapy methods in patients with carpal tunnel syndrome. Ortop. Traumatol. Rehabil., 2011, 13, 6, s. 555–564.
10. Lewanska, M., Walusiak-Skorupa, J. Etiological factors of carpal tunnel syndrome in subjects occupationally exposed to monotype wrist movements. Med. Pr., 2014, 65, 2, s. 261–270. http://dx.doi.org/10.13075/mp.5893.2014.027. Polish.
11. Máslová, V., Nakládalová, M., Bastlová, P. Kinezioterapie u syndromu karpálního tunelu. Pracov. Lék., 2014, 66, 2–3, s. 98–101.
12. Meirelles, L. M., Santos, J. B. G., Santos, L. L., Branco, M. A., Faloppa, F., Leite, V. M., Fernandes, C. H. Evaluation of boston questionnaire applied at late post-operative period of carpal tun-nel syndrome operated with the paine retinaculatome through palmar port. Asta Ortop. Bras., 2006, 14, 3.
13. Moutasem, S. A. Pathophysiology of carpal tunnel syndrome. Neurosciences (Riyadh), 2015, 20, 1, s. 4–9.
14. Newington, L., Harris, E. C., Walker-Bone, K. Carpal tunnel syndrome and work. Best Pract. Res. Clin. Rheumatol., 2015, 29, 3, s. 440–453. doi: 10.1016/j.berh.2015.04.026. Epub 2015 May 27.
15. Oskouei, A. E., Talebi, G. A., Shakouri, S. K., Ghabili, K. Effects of neuromobilization maneuver on clinical and electrophysiological measures of patientswith carpal tunnel syndrome. J. Phys. Ther. Sci., 2014, 26, 7, s. 1017–1022. doi: 10.1589/jpts.26.1017
16. Spahn, G., Wollny, J., Hartmann, B., Schiele, R., Hofmann, G. O. Metaanalysis for the evaluation of risk factors for carpal tunnel syndrome (CTS) Part II. Occupational risk factors. Z. OrthopUnfall., 2012, 150, 5, s. 516–524. doi: 10.1055/s-0032-1315346. German.
17. Wippermann, J., Potter, L. Carpal tunnel syndrome-try these diagnostic maneuvers. J. Fam. Pract., 2012, 61, 12, s. 726–732.
18. Žídková, V., Nakládalová, M., Straková, V., Nakládal, Z., Kollárová, H. Podmínky uznání profesionality syndromu karpálního tunelu z přetěžování. Prakt. Lék., 2014, 94, 5, s. 230–234.
Štítky
Hygiene and epidemiology Hyperbaric medicine Occupational medicineČlánok vyšiel v časopise
Occupational Medicine
2016 Číslo 3
Najčítanejšie v tomto čísle
- The carpal tunnel syndrome as viewed by the general practitioner – case report
- The impact of shift work on sleep and anxiety in general nurses
- Auto-kinesio-therapy in the carpal tunnel syndrome
- Leptospirosis with a rare combination of complications